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Nutcracker Syndrome: a Rare Cause of Abdominal Pain and Proteinuria

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Abstract

Entrapment of the left renal vein between superior mesenteric artery and aorta is known as nutcracker phenomena, while nutcracker syndrome is association of symptoms with this anomaly. It may cause variety of symptoms including abdominal pain. The disease is underdiagnosed; careful search on cross-section angiography helps in making the diagnosis. Mild symptoms may resolve spontaneously, while intolerable symptoms may need intervention.

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Fig. 1

Abbreviations

SMA:

Superior mesenteric artery

LRV:

Left renal vein

NS:

Nutcracker syndrome

References

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Author information

Authors and Affiliations

  1. Tricolor Hospital, Vadodara, India

    Deepali Mistry

  2. Mission Gastrocare, Institute of Gastroenterology, Liver – Pancreas and GI Cancer Sciences, 02/03 – Purv Prime, Near Natubhai Circle, Gotri Road, Vadodara, 390007, Gujarat, India

    Jitendra Mistry

  3. Sanya Diagnostics, Vadodara, India

    Vishal Shah

Authors
  1. Deepali Mistry
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  2. Jitendra Mistry
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  3. Vishal Shah
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Correspondence to Jitendra Mistry.

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Mistry, D., Mistry, J. & Shah, V. Nutcracker Syndrome: a Rare Cause of Abdominal Pain and Proteinuria. Indian J Surg 85, 671–672 (2023). https://doi.org/10.1007/s12262-022-03485-2

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  • DOI: https://doi.org/10.1007/s12262-022-03485-2

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